Backache

Pain, low back pain, constant heaviness, are you familiar with this feeling in your back?

Harmless pain is usually a sign of a dangerous disease. In this article, we will analyze all the causes of the disease.

reason

1. Diseases of the spine and pelvis.

• Osteochondrosis (intervertebral disc injury (herniation, disc herniation);
• Spondylitis (an inflammatory disease of the spine);
• Spondyloarthropathy (arthropathy of the intervertebral joints);
• Spondylosis (bone growth);
• Spondyloarthritis (inflammation of the intervertebral joints);
• Myositis (inflammation of the muscles);
• Osteoporosis (decreased bone density) with compression fractures of the vertebrae and other bone structures;
• Spinal and pelvic bone injuries (fractures, cracks);
• Sacroiliac arthritis (inflammation of the sacroiliac joints);
• Bone structure and soft tissue tumors.

2. Lumbar reflex pain,Related to diseases of the abdomen and pelvic organs (inflammatory diseases and tumors), this pain is usually accompanied by abdominal pain.

The nature of painMay be different:

• Acute is pain that occurs quickly and suddenly;
• Chronic-Pain for more than 2 months, which occurs with the progression of spinal disease;
• Inflammatory lesions of the genitourinary system and abdominal organs (chronic gastritis, pancreatitis, cholecystitis, enterocolitis).

Pain intensity

From discomfort to severe pain.

If acute and severe abdominal pain radiates to the lumbar spine, it is always necessary to rule out surgical pathologies that require urgent surgical intervention (gastrointestinal bleeding, appendicitis, peritonitis, etc. ).

Severe pain in the lumbar spine

It can be reflex (muscle spasm caused by stimulation of receptors in the paravertebral muscles). Coughing, sneezing, and all actions accompanied by pain can hurt people. When nerve roots are compressed (herniated disc, herniated disc), the pain spreads to the lower limbs, usually from one side.

Myofascial syndrome

It is caused by stimulation of pain receptors in muscles and fascia. There is the formation of triggers (pain nodes) in the muscles. Pain syndrome is chronic and often recurs.

Any trauma to soft tissue or bone structure is also accompanied by severe pain.

When to see a doctor: Any lumbar pain needs to see a doctor to help diagnose the cause of the pain and take action.

Pain in men and women

For reproductive system diseases, pain syndromes are different for men and women.

Male prostate disease is characterized by stretch and soreness, often accompanied by poor urination; female symptoms are often acute and obvious. Ovarian stroke or ectopic pregnancy, the pain is unbearable. Usually, the syndrome is more severe on the affected side.

Endometriosis, uterine fibroids-painful sensation, pulling. If the pain is related to spinal pathology, the intensity of the pain does not depend on gender. It is worth noting that the man went to see a doctor later.

diagnosis

Expert inspection

• Spinal neurologist
• Gastroenterologist
• Neurosurgeon
• Surgeon
• gynecologist;
• Urologist
• Rheumatologist
• Oncologist.

Laboratory method

• General blood test (exclude inflammatory process, white blood cell level, ESR), rule out anemia (hemoglobin level);
• General urinalysis: exclude inflammatory processes in the bladder and kidneys (bacteria, white blood cells, red blood cells);
• Fecal occult blood analysis;
• Blood biochemistry: Rheumatism examination excludes systemic inflammation (CRP, RF, uric acid), liver function assessment (alt ast bilirubin), renal function assessment (urea creatinine), pancreatic function (amylase), etc.

Instrumental Research Method

• X-rays of lumbar spine and pelvis; plain X-rays of abdominal cavity (not including intestinal obstruction);
• Ultrasound examination of abdominal and pelvic organs;
• FGDS;
• Colonoscopy
• Comparison of lumbar spine MRI (CT) and lumbar spine MRI (CT);
• MRI (CT) of abdominal cavity and small pelvis, contrast of MRI (CT) of abdominal cavity and small pelvis.

treatment

When a tumor is detected, determine treatment, surgery or other strategies (observation and treatment in neurosurgery, surgical hospital, tumor clinic) according to the location and nature of the tumor.

medical treatement

Spinal diseases (more common in osteochondrosis):

• Non-steroidal anti-inflammatory drugs;
• Muscle relaxant
• Opioid analgesics;
• Diuretic
• Vascular drugs
• Antibacterial drugs
• Use novocaine, lidocaine, and diprospan for medical and medical blockade.

Non-pharmacological methods

They are mainly used to treat spinal diseases:

• Physiotherapy (magnetic laser, magnetic therapy, CMT and nocaine, etc. );
• acupuncture;
• Hardware traction of the lumbar spine;
• Manual therapy
• massage;
• Bath therapy (mud compress, ozokerite);
• Exercise therapy.

Prevention of spinal diseases (within the framework of osteochondrosis) all the above methods (except physical therapy).

Prevention of gastrointestinal diseases: diet, diet, work and rest.

If you have low back pain, please go to the clinic.

The hospital has all the experts and all the diagnostic methods described in this article. There are also inpatient departments: Gastroenterology and the Municipal Spondylopathy Center. All treatment methods except surgery are used. You can receive monitoring, examination, and treatment in an outpatient clinic (that is, outside the hospital).